Good Samaritan Society - Redwood Falls - Redwood Falls Nursing Home
General Information
UPDATEFederal Provider Number
245237
Provider Name
GOOD SAMARITAN SOCIETY - REDWOOD FALLS
Provider Address
200 SOUTH DEKALB STREET
REDWOOD FALLS, MN 56283
REDWOOD FALLS, MN 56283
Provider Phone Number
(507) 637-5711
Provider SSA County
630
Provider County Name
Redwood
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
40
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid services
1981-04-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.13429
Reported LPN Staffing Hours per Resident per Day
0.60571
Reported RN Staffing Hours per Resident per Day
0.89286
Reported Licensed Staffing Hours per Resident per Day
1.49857
Reported Total Nurse Staffing Hours per Resident per Day
4.63286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01571
Expected CNA Staffing Hours per Resident per Day
2.63981
Expected LPN Staffing Hours per Resident per Day
0.56741
Expected RN Staffing Hours per Resident per Day
0.76438
Expected Total Nurse Staffing Hours per Resident per Day
3.97159
Adjusted CNA Staffing Hours per Resident per Day
2.91332
Adjusted LPN Staffing Hours per Resident per Day
0.88603
Adjusted RN Staffing Hours per Resident per Day
0.87279
Adjusted Total Nurse Staffing Hours per Resident per Day
4.70204
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
155
Cycle 2 Standard Health Survey Date
2012-11-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
155
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
71.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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